HomeMy WebLinkAboutBLD2010-00014 Replace Dock, Pier - COM Application - 1/8/2010 MASON COUNTY PERMIT NO.&I,-jZj)ID -Q(YQ
BUILDING PERMIT APPLICATION �-
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 - Belfair (360) 275-4467 - Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner -4«" %�a •��- fvt:=i F i Wasr yj6-IB4 Company Name
Mailing Address Fc- LOX ?ov9wl Mailing Address Fo Sc7X 1097
City '-,A7, �'' state VJ4, Zip Code fl' 129-95b1 City T�Acxy&14 State WAr Zip Codeg8393
Phone Other Ph. Phone 310o-192-Zp3a Other Ph3w-
Lien/Title Holder••► QL StuM•I OF y e5r1 ;et4 WA_r4it 'aro4 Contractor Reg. Exp. Z-2B- It
E mail address J 1 47- W4,094 E Mail Address TFALIA F-v0rtqftJ- -6ir�ECQIA
Drivers Lic. # DOB Drivers Lic. DOB 2.-21 -,649
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Weller Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. 1 12 07+talc 0000 Fire District
Legal Description 3 E; QF rJ i urn £x. i 5W t N►� yW SEG $ of SrP
Site Address (Please include street name, street number and city) Z5 L�S+ST LK• G�J�iz��lX f�
Directions to site Ncai`Y4 y hl B'51AM fZa.+M 3 LEFT- 6, LAO VE4fKEA4,9 Lff^r 4T` CA-M PA4SAMS '51"-
Will timber be cut and sold in parcel preparation?Yes/
Is property within 200' of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYP F JOB - New Add Alt s/Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Describe Work KttLLAM-- 09,47'LbQ< , 66N 61 00,r 4.24 L;C%K 111021FiiAr�-At��
No. of Bedroom No. of Bathrooms Square Footage- 1 st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price$ Replacement Unit? Yes/ No
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative,or the contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all
the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work
proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or
agent on owners behalf, represents that the informaticn provided is accurate and grants employees of Mason County access to the above
described property and structure for review and inspection. This permit/application becomes null & void if work or authorized construction is
not commenced within 180 days or if construction work is suspended for a period of 180 days.,PROOF OF CONTINUATION OF WORK IS BY
MEANS O LOGRE INSPE INACTIVITY OF THIS PERMIT APPLICATION OF 180 gAYSWJLL INVALIDATE THE APPLICATION.
• XK� 4 �" lQ
X Date:
r Owner/Owners Representative/ ntracto (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department -
Planning Department
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood /Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
�wvL+1 �' riL
' JAN 0 8 11
� 2010 159 T9 15'9 =,C
426 W. CEDAR ST.
� rl �-
15'9
15'9
PLANNING
lit
�A
PLANNING■
ALL SETBACKS ARE MEASURED
FROM THE FURTHEST
Z PROJECTION OF THE BUILDING
91
15'9 159 FC
T9
� kC
7 19'9 19'9 19'9
597
PC
15'9
" T9
St. ALBANS BOAT DOCK
1679sgft
Floating boat dock frame shall be constructed of 2x8 treated lumber. All
fasteners, inside corners, outside corners, connectors, backing plates,
bolts, nuts and washers to be hot dipped galvanized metal. Floats to be
ACE ROTO-MOLD, or equivilant, with a nominal wall thickness of at least
.150". Deck surface and side covering to be composite material, approved
by GSWW contract represenitive prior to construction. All composit
materials to to be attached with stainless steel fasteners. Anchor chains
to be 3/16"hot dipped galvinized steel, connected to deadman weights
and dock with hot dipped galvinized steel shackels at locations indicated.
AC= Anchor chain attachment points
p' APPROVED
MASON C UN T Y DCD PLANNING
St. ALBANS BOAT DOCK RAMP SITE PLAN REQUIRED TO BE ON SITE
101 soft
Gang plank to be white powder coated CHANGES SUBJECT TO APPROVAL
aluminum with ADA hand rails and non kid
surface. --—_--— Date I ZO a
Rollers at floating bock end '
Hindged con ctic,to pier
TransR! - rFt!-,p to,be 4' :,__ k
Le, c ^j l I �
: 7T/
FILE NAME:
5t Albans Okashl
I UPDATED PLANS
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PLOT PLAN NOTE: SHEET
1. PLOT PLAN DIMENSIONS AND MARKINGS ARE APPROXIMATION5 AND HAVE NOT BEEN VERIFIED.
2. NO CHANGES TO EXI5TING STRUCTURE 51ZE OR LOCATION SHALL BE MADE.
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